This Study Will Use Real-time Pressure Mapping Technology to Determine Which Positioning Strategies and Devices Exert the Least Amount of Pressure on Peri-operative Burn Patients

N/ANot Yet RecruitingNCT07171138

Sunnybrook Health Sciences Centre80 enrolled

Overview

Burn patients are especially vulnerable to developing hospital-acquired pressure sores. The goal of this study is to determine which positions and positioning devices exert the least amount of pressure on problem areas such as the heels, the tailbone, the elbow and the back of the head. With the use of a pressure mapping device, it will allow the investigators to: 1. Identify patients at the highest risk of developing pressure injuries related to positioning/devices. 2. Use the findings to create positioning/device guidelines By optimizing positioning strategies, the investigators aim to enhance patient comfort, prevent complications, and ultimately improve the overall quality of care for burn patients.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Hospital Acquired Pressure Injury

Interventions

Different positioning strategies and positional devices. Measurement of skin interface pressure at key anatomical pressure points (occiput, elbows, sacrum, heels) under different patient positioning strategies and positional devices. The positions that produce the least amount of pressure are identified and will be implemented and compared with pre-intervention hospital acquired pressure injuries (HAPI)

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * adult patients (18 years of age or greater) * burns of any size * pre and post-operative patients Exclusion Criteria: * pediatric burn patients * patients with pre-existing (pre-admission) pressure injuries * patients unable to provide informed consent or decline consent * patients with large burns that are not expected to survive past 72 hours

Outcomes

Primary Outcomes

Measurement of pressure according to pressure mapping system/device (x-sensor)

Using a pressure mapping device, determine which positions and positioning devices create the most/least amount of pressure at known pressure points (occiput, elbows, sacrum, and heels).

Time frame: 1 year

Secondary Outcomes

Compare HAPI incidence post-implementation of optimal positioning

Compare HAPI incidence post-implementation of positioning that produced the least pressure with retrospective pre-intervention HAPI incidence.